Louisiana County Agricultural Agents Association
Membership Application
Name ______________________________________________________
Address ____________________________________________________
____________________________________________________
____________________________________________________
Telephone _______________________ FAX _______________________
Email _______________________________________________________
Work Assignment _____________________________________________
Dues Assessment: $60.00 per year (LCAAA & NACAA)
Must join both LCAAA & NACAA
LCAAA One Year Membership - $10.00
NACAA One Year Membership - 50.00
Total Paid - $______
Send Payment to:
Louis Lirette, Treasurer
LCAAA
210 Turner Road
Port Allen, LA 70767